Pain in right arm

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M79.601 Pain in right arm M79.602 Pain in left arm M79.603* Pain in arm, unspecified M79.604 Pain in right leg M79.605 Pain in left leg M79.606* Pain in leg, unspecified M79.609 Pain in unspecified limb M79.621 Pain in right upper arm M79.622 Pain in left upper arm M79.629* Pain in unspecified upper arm M79.631 Pain in right forearm M79.632 Pain in left forearm M79.639* Pain in unspecified forearm M79.641 Pain in right hand M79.642 Pain in left hand M79.643* Pain in unspecified hand M79.644 Pain in right finger(s) M79.645 Pain in left finger(s) M79.646* Pain in unspecified finger(s) M79.651 Pain in right thigh M79.652 Pain in left thigh M79.659* Pain in unspecified thigh M79.661 Pain in right lower leg M79.662 Pain in left lower leg M79.669* Pain in unspecified lower leg M79.671 Pain in right foot M79.672 Pain in left foot M79.673* Pain in unspecified foot M79.674 Pain in right toe(s) M79.675 Pain in left toe(s) M79.676* Pain in unspecified toe(s)

Pain in Limb (ICD-9-CM 729.5)

*Codes with a greater degree of specificity should be considered first.

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Z00.121 Encounter for routine child health examination with abnormal findings Z00.129 Encounter for routine child health examination without abnormal findings

Routine Child Health Examination (ICD-9-CM V20.2)

*Codes with a greater degree of specificity should be considered first.

N30.00 Acute cystitis without hematuria N30.01 Acute cystitis with hematuria N30.10 Interstitial cystitis (chronic) without hematuria N30.11 Interstitial cystitis (chronic) with hematuria N30.20 Other chronic cystitis without hematuria N30.21 Other chronic cystitis with hematuria N30.30 Trigonitis without hematuria N30.31 Trigonitis with hematuria N30.40 Irradiation cystitis without hematuria N30.41 Irradiation cystitis with hematuria N30.80 Other cystitis without hematuria N30.81 Other cystitis with hematuria N30.90 Cystitis, unspecified without hematuria N30.91 Cystitis, unspecified with hematuria N39.0* Urinary tract infection, site not specified

Urinary Tract Infection, Cystitis (ICD-9-CM 595.0 to 595.4 range, 595.81, 595.82, 595.89, 595.9, 599.0)

*Codes with a greater degree of specificity should be considered first.

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Specifying anatomical location and laterality required by ICD-10 is easier than you think. This detail reflects how physicians and clinicians communicate and to what they pay attention – it is a matter of ensuring the information is captured in your documentation.

In ICD-10-CM, there are three main categories of changes:

 Definition Changes

 Terminology Differences

 Increased Specificity

Over 1/3 of the expansion of ICD-10 codes is due to the addition of laterality (left, right, bilateral). Physicians and other clinicians likely already note the side when evaluating the clinically pertinent anatomical site(s).

ASTHMA

Terminology Difference

ICD-10 terminology used to describe asthma has been updated to reflect the current clinical classification system.

When documenting asthma, include the following:

1. Cause Exercise induced, cough variant, related to smoking, chemical or particulae cause, occupational

2. Severity Choose one of the three options below for persistent asthma patients 1. Mild persistent

2. Moderate persistent

3. Severe persistent

3. Temporal Factors Acute, chronic, intermittent, persistent, status asthmaticus, acute exacerbation

Primer for Pediatrics Clinical Documentation Changes

ICD-10 Compliance Date: October 1, 2015

J45.30 Mild persistent asthma, uncomplicated J45.991 Cough variant asthma